KENNETH WILLIAM MYERS (NPI# 1538159777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538159777 |
Entity Type | Individual |
Full Name | KENNETH WILLIAM MYERS |
Credential | M.D. |
Practice Address |
1017 Ashes Dr Suite 206 Wilmington NC 28405-8352 |
Practice Telephone | 9102399584 |
Practice Fax Number | 9106794086 |
Mailing Telephone | 9102399584 |
Mailing Fax Number | 9106794086 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2015-11-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 200000282 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | MEDICARE PTAN | 2280408 | 01 |
NC | 89126T6 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609306224 | Kenneth Myers Jr. | Registered Nurse | 73 King Charles Lane, Newtown, PA 18940 | 2017-06-15 |
1194002295 | Kenneth E Myers | Social Worker | 275 7th Ave Rm 2501, New York, NY 10001-8400 | 2011-11-03 |
1942390034 | Kenneth E Myers | Dentist | 2 Blackstrap Rd, Falmouth, ME 04105-2238 | 2006-10-13 |
1891718938 | Kenneth Geoffrey Myers | Social Worker | 13914 Rock Still Ct, Clifton, VA 20124-2529 | 2006-07-26 |
1780602078 | Kenneth K. Myers | Dentist | 225 Eagle Crest Drive, Rangely, CO 81648 | 2006-07-17 |
1457333122 | Kenneth Patrick Myers | Chiropractor | 9033 Baseline Rd, Suite Q, Rancho Cucamonga, CA 91730-1255 | 2005-11-17 |
1629696331 | Kenneth James Myers | Pharmacist | 4214 E Indian School Rd Ste 103, Phoenix, AZ 85018-5339 | 2020-07-09 |
1285166256 | Kenneth Myers Jr. | Physical Therapist | 2855 Westminster Plaza Dr, Houston, TX 77082-2960 | 2017-03-29 |
1053862128 | Kenneth George Myers Jr. | Counselor | 1511 W 3rd Ave, Suite 104, Albany, GA 31707-3695 | 2016-10-24 |
1740684638 | Kenneth Elwood Myers IIi | Nurse Practitioner | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2014-10-21 |
Street Address |
1017 ASHES DR SUITE 206 |
City | WILMINGTON |
State | NC |
Zip Code | 28405-8352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023030459 | Sean R. Lucas | Allergy & Immunology | 1017 Ashes Dr, Suite 206, Wilmington, NC 28405-8308 | 2006-07-24 |
1649201724 | The Peedee Clinic | Family Medicine | 1017 Ashes Dr, Suite 100, Wilmington, NC 28405-8352 | 2006-07-06 |
1316937477 | Alex Garhoe Yip | Allergy & Immunology | 1017 Ashes Dr, Suite 206, Wilmington, NC 28405-8352 | 2005-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376155507 | Evan Michael Vallee | Dentist | 5023 Market Street Wilmington, Wilmington, NC 28405 | 2020-08-19 |
1447725098 | Addictioncare 101 | Psychiatry & Neurology | 311 4 E Judges Road, Wilmington, NC 28405 | 2018-10-10 |
1659861649 | Brianna Jane Gausman | Physical Therapist | 6752 Parker Farm Dr Ste 1b, Wilmington, NC 28405 | 2018-05-15 |
1205346756 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 6427a Windmill Way, Wilmington, NC 28405 | 2017-10-10 |
1710345400 | Martha Arielle Walker | Physician Assistant | 6727 Parker Farm Dr, Wilmington, NC 28405 | 2016-02-09 |
1033549910 | Christine Urban Bruin | Psychologist | 510 Military Cutoff Rd., Suite 120, Wilmington, NC 28405 | 2013-11-14 |
1487083358 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 117 Spartan Road, Wilmington, NC 28405 | 2013-11-01 |
1487902334 | Carolina Vision Associates, Od, Pa | Optometrist | 5301 B Market St, Carolina Vison Associates, Od, Pa, Wilmington, NC 28405 | 2012-08-27 |
1568718328 | Cameron Nichole Ford | Occupational Therapy Assistant | 5004 Hunters Trl, Apt 5, Wilmington, NC 28405 | 2012-07-31 |
1881959534 | Ashley Brennen Cook | Speech-Language Pathologist | 4613 Trafalgar Rd, Wilmington, NC 28405 | 2012-07-09 |
Find all providers in zip 28405 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
1902217565 | Anusha Vadlamudi | Allergy & Immunology | 1017 Ashes Dr Ste 206, Wilmington, NC 28405-8308 | 2014-05-16 |
1104913417 | Allergy and Asthma Center, Inc | Allergy & Immunology | 110 Fairway Dr, Suite # 2, Wilmington, OH 45177-8756 | 2006-10-06 |
1548353345 | Leonard H Seltzer | Allergy & Immunology | 1309 Veale Rd, Suite 11, Wilmington, DE 19810-4609 | 2006-10-02 |
1760495097 | Michael Wydila | Allergy & Immunology | 1400 Philadelphia Pike, Suite A6, Wilmington, DE 19809 | 2006-08-15 |
1861470767 | Gregory V. Marcotte | Allergy & Immunology | 1700 Shallcross Ave, Suite 1, Wilmington, DE 19806-2344 | 2006-01-03 |
1831189992 | Allergy Partners, Pllc | Allergy & Immunology | 1017 Ashes Drive, Suite 206, Wilmington, NC 28405-8308 | 2005-10-28 |
1912997156 | Donald Miles Macqueen | Allergy & Immunology | 2321 Delaney Rd, Wilmington, NC 28403-6012 | 2005-10-27 |
1912904038 | David Peter Wien | Allergy & Immunology | 708 Greenbank Rd, Wilmington, DE 19808-3168 | 2005-07-05 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 28405 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.